I acknowledge that my procedures has been scheduled at the Saratoga Schenectady Endoscopy Center and that the following information was reviewed verbally and copies were given to me and the information was available on the website. 

1. Advanced Directives 
2. Patient Rights and Responsibilities
3. Physician Ownership in the Center
4. Need to have a family member/ friend to drive me home after the procedure and cannot drive until the next day
5. Need to bring my co-payment if applicable and identification with me the day of the procedure
6. Billing Information